Smoking and Secondhand Smoke Exposure at Home Were Associated with Poor Perceived Family Well-Being: Findings of FAMILY Project

Wang, XinWang, Man PingViswanath, KasisomayajulaWan, AliceLam, Tai HingChan, Sophia S.2016-11-182016Wang, Xin, Man Ping Wang, Kasisomayajula Viswanath, Alice Wan, Tai Hing Lam, and Sophia S. Chan. 2016. “Smoking and Secondhand Smoke Exposure at Home Were Associated with Poor Perceived Family Well-Being: Findings of FAMILY Project.” PLoS ONE 11 (8): e0161761. doi:10.1371/journal.pone.0161761. http://dx.doi.org/10.1371/journal.pone.0161761.1932-6203http://nrs.harvard.edu/urn-3:HUL.InstRepos:29407818Introduction: To investigate the associations of cigarette smoking and secondhand (SHS) exposure at home with family well-being among Chinese adults in Hong Kong. Methods: Telephone surveys were conducted among 3043 randomly selected adults (response rate 70%) in 2010 and 2012 to monitor family health information and tobacco use in Hong Kong. Family well-being was measured using three questions of perceived family harmony, happiness and health (3Hs) with responses ranging from 0–10 and a higher score indicating better family well-being. Smoking status, nicotine dependence, quitting behaviours and SHS exposure at home were recorded. Multiple linear regressions were used to calculate β-coefficients for individual family 3Hs component and an overall composite score representing family well-being. Results: Compared with never smokers, current smokers reported lower levels of family harmony (adjusted β = -0.15, 95% CI: -0.35 to -0.10), happiness (adjusted β = -0.12, 95% CI: -0.28 to -0.02), health (adjusted β = -0.15, 95% CI: -0.30 to -0.03) and overall family well-being (adjusted β = -0.17, 95% CI: -0.32 to -0.06). Quit attempt and intention to quit were not associated with family well-being. SHS exposure at home was associated with lower levels of family harmony (adjusted β = -0.17, 95% CI: -0.30 to -0.07), happiness (adjusted β = -0.19, 95% CI: -0.32 to -0.08), health (adjusted β = -0.13, 95% CI: -0.26 to -0.03) and family well-being (adjusted β = -0.19, 95% CI: -0.32 to -0.09). Conclusions: Smoking and SHS exposure at home were associated with the lower levels of perceived family well-being. Prospective studies are needed to confirm the results.en-USBiology and Life SciencesBehaviorHabitsSmoking HabitsSocial SciencesSociologyHuman FamiliesPsychologyEmotionsHappinessSurvey ResearchSurveysHealth SurveysPeople and placesGeographical locationsAsiaHong KongPeople and PlacesPopulation GroupingsAge GroupsAdultsMedicine and Health SciencesMental Health and PsychiatryEconomicsFinanceSmoking and Secondhand Smoke Exposure at Home Were Associated with Poor Perceived Family Well-Being: Findings of FAMILY ProjectJournal Article2016-11-1810.1371/journal.pone.0161761